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Harlequin Nianna Ototivo
Peer Specialist in Lawton, Oklahoma
NPI 1275287278

Harlequin Nianna Ototivo is a Peer Specialist based in Lawton, OK. Harlequin Nianna Ototivo practices in Lawton, OK. The NPI Number for Harlequin Nianna Ototivo is 1275287278 and holds a License No. (Oklahoma).

The current practice location address for Harlequin Nianna Ototivo is 8501 Nw Madische Rd, Lawton, OK and can be reached out via phone at 580-492-3614.

Location: 8501 Nw Madische Rd, Lawton, OK, 73507-1221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275287278
Provider Name
Harlequin Nianna Ototivo
Credential
Provider Entity Type
Individual
Gender
Female
Address
8501 Nw Madische Rd, Lawton, OK, 73507-1221
Phone Number
580-492-3614
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8501 Nw Madische Rd
City
Lawton
State
Oklahoma
Zip
73507-1221
Phone Number
580-492-3614
Fax Number
person
Provider Business Mailing Address Details
Address
8501 Nw Madische Rd
City
Lawton
State
Oklahoma
Zip
73507-1221
Phone Number
580-492-3614
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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